Child's Name *
Child's Name
Date of Birth *
Date of Birth
Phone *
Phone
Main Contact
Address
Address
BABY & PARENT CLASS OPTIONS *
The application fee of $20.00* is non-refundable and is not a deposit towards the tuition. The application fee Refund Policy: If you paid in-full and your child withdraws from the program, a pro-rated refund will be issued.
How did you hear about our school?
Why did you choose our school?
Todays Date
Todays Date
Signature
Signature